Sherwood Family Eye Health LLC
Clinic/Center in Sherwood, OR. Organization (NPI-2).
NPI number1013045152
StatusActive
Last updated in NPPESNov 7, 2008
Details
- NPI
- 1013045152
- Entity type
- Organization (NPI-2)
- Legal business name
- Sherwood Family Eye Health LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Nov 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 3152 ATI | OR | Yes |
Practice location
20407 Sw Borchers DrSuite 202
Sherwood, OR 97140-8760
Phone 503-625-2727 · Fax 503-625-2929
Mailing address
20407 Sw Borchers DrSuite 202
Sherwood, OR 97140-8760
Phone 503-625-2727 · Fax 503-625-2929
Authorized official
Adina N Zapodeanu
Owner
5036252727
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